MRS. DEMETRIUS MCCLINTON WASHINGTON (NPI# 1508124116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508124116 |
Entity Type | Individual |
Full Name | MRS. DEMETRIUS MCCLINTON WASHINGTON |
Credential | FNP |
Practice Address |
1155 S Summer Breeze Ln Anaheim CA 92808-2529 |
Mailing Address |
3440 Hollywood Blvd Suite 460 Hollywood FL 33021-6927 |
Practice Telephone | 7142719843 |
Mailing Telephone | 7142719843 |
Mailing Fax Number | 1866986226 |
Enumeration Date | 2012-05-02 |
Last Update Date | 2020-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21078 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164826194 | Demetrius Dewyane Washington | Counselor | 324 N 13th Ave, 1901 Baker Street, Arcadia, FL 34266-8922 | 2014-10-20 |
Street Address |
1155 S SUMMER BREEZE LN |
City | ANAHEIM |
State | CA |
Zip Code | 92808-2529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861970378 | Rebeca Martinez-higareda | Specialist/Technologist | 140 S. Chaparral Ct., Suite 110, Anaheim Hills, CA 92808 | 2018-08-06 |
1558875450 | Latshikyan Dental Corporation | Dentist | 8162 E Santa Ana Canyon Rd Suite 104, Anahein, CA 92808 | 2017-11-30 |
1083153266 | Jennifer Becker | Social Worker | 1368 S Country Glen Way, Anaheim, CA 92808 | 2017-02-21 |
1235573304 | Suzanne Renee Molera | Specialist/Technologist | 160 Old Springs Rd., Ste. 100, Anaheim Hills Speech and Language Center, Anaheim Hills, CA 92808 | 2013-04-19 |
1346559317 | Bernadette Pamulo Gonzales | Nurse Practitioner | 197 N. Mohler Drive, Anaheim Hills, CA 92808 | 2010-09-24 |
1437485653 | Rebecca M. Maravilla, Od, Inc. | Optometrist | 781 S. Weir Canyon Road, Suite 195, Anaheim, CA 92808 | 2009-10-22 |
1710142153 | Chris T Nguyen | Dentist | 911 South Brianna Way, Anaheim, CA 92808 | 2008-07-24 |
1619174331 | Raymond Warner | Social Worker | 1900 E. 4th Street, 2nd Floor, Anaheim, CA 92808 | 2007-06-27 |
1437271582 | Rebecca Marcia Maravilla | Optometrist | 781 S Weir Canyon Road, Suite 195, Anaheim Hills, CA 92808 | 2007-04-06 |
1649327412 | Kimberlee Anne Anne Green | Counselor | 120 S. Fairmont Blvd., Anaheim, CA 92808 | 2007-01-04 |
Find all providers in zip 92808 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
1063020766 | Lysander Alto | Nurse Practitioner | 631 S Brookhurst St Ste A, Anaheim, CA 92804-3510 | 2020-07-20 |
1306462817 | Celia Hernandez Perez | Nurse Practitioner | 1800 W Catalpa Ave, Anaheim, CA 92801-3514 | 2020-06-20 |
1093341414 | Paul Joonhyuk Choi | Nurse Practitioner | 1745 N Landfair St, Anaheim, CA 92806-1109 | 2020-03-17 |
1710547252 | Honey G Santos | Nurse Practitioner | 313 S Vicki Ln, Anaheim, CA 92804-2031 | 2019-06-17 |
1396208716 | Jenn Marie C Virtudes | Nurse Practitioner | 1058 N Reiser Ct, Anaheim, CA 92801-3360 | 2019-04-11 |
1841773645 | Diane Chung | Nurse Practitioner | 540 S Circulo Lazo, Anaheim, CA 92807-4302 | 2018-09-08 |
1063990133 | Tina Shizuko Kami | Nurse Practitioner | 3356 W Ball Rd Ste 100, Anaheim, CA 92804-3727 | 2018-08-01 |
1093235699 | Araba Sackey | Nurse Practitioner | 1091 S Matthew Way, Anaheim, CA 92808-1459 | 2017-06-23 |
1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
Find all providers in ANAHEIM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.